<!DOCTYPE html >
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<meta name="format-detection" content="telephone=no">
<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">
<link type="text/css" rel="stylesheet" href="css/style.css" />
<link type="text/css" rel="stylesheet" href="css/bound.css" />
<link type="text/css" rel="stylesheet" href="css/shop.css" />
<script src="js/jquery-1.7.2.min.js"></script>
<script src="js/style.js"></script>
<title>浙商保险 - 保单添加</title>
</head>

<body>
<form action="" method="get">
	<div class="menages"><i></i>保单添加</div>
	<div class="basic manager-div margin-b5">
		<div class="title_text">
			保单号码
			<input type="tel" maxlength="11" placeholder="请输入保单号码">
		</div>
		<div class="title_text">
			证件号码
			<input type="text" placeholder="请填写被保险人证件号码">
		</div>
		<div class="title_text">
			验证码
			<img class="right-bound" src="images/yzm.jpg">
			<input type="text" placeholder="请输入验证码" class="left-bound">
		</div>
	</div>
	<div class="bottom-can"><a href="#">确认</a></div>
</form>
</body>
</html>
